Niebuhr, Joel W

Niebuhr, Joel W is an sole proprietor health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Niebuhr, Joel W can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 54572-021 Wisconsin
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 54572-021 Wisconsin

Profile Details

NPI number 1902015167
LBN Legal business name Niebuhr, Joel W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Nov 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902015167 NPPES
Wisconsin MEDICAID 10010891

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